Children's National Medical Center
Coding Analyst - Inpatient
Children's National Medical Center, Silver Spring, Maryland, United States, 20900
Job Description - Coding Analyst - Inpatient (250003FD)
Job Description
Description The Coding Analyst reports to the Manager of Coding and will demonstrate expertise in the coding and analysis of pediatric medical records. The Coding Analyst is responsible to review, analyze, and code diagnostic and procedural information for technical or professional services that determine the care and treatment provided to the patient. The primary function of this position is to perform ICD-10-CM, CPT, ICD-10-PCS (IP tech/DRG) and HCPCS coding for Medicare, Medicaid and private insurance payments. The coding function will ensure compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines.
Qualifications Minimum Education
High School Diploma or GED (Required) And Associate's Degree (Preferred)
Minimum Work Experience
1 year Hospital-based coding experience required; pediatric experience preferred. (Required)
Demonstrated experience in coding inpatient hospital stays (assigning ICD-10-CM/PCS, APR-DRG/MS-DRG assignments), pediatric experience (Preferred).
Functional Accountabilities Productivity and Accuracy
Assign and sequence ICD-10-CM/CPT/HCPCS/ICD-10-PCS (IP tech/DRG) codes to diagnosis and operative procedures for documented information; assure the final diagnosis and operative procedures as stated by the physician are valid and complete; abstract all necessary information from health records to identify secondary complications and co-morbid conditions.
Meet department accuracy and productivity standards for coding, abstracting, and record reconciliation activities.
Abstract all necessary information and assign codes ICD-10-CM/CPT/HCPCS/ICD-10-PCS (IP tech/DRG), which most accurately describe each documented diagnosis, surgical procedure and special therapy or procedure according to established guidelines.
Identify services needing to be abstracted/coded by following prescribed procedures for the capture of inpatient and outpatient services; this may involve the use of admissions, transfer and discharge reports, appointment schedules, and/or surgical schedules.
Abstract applicable clinical documentation (e.g., admit report, consultation report, progress note, surgical report, etc…) for purpose of determining the appropriate billing information (e.g., provider name, date of service, CPT code, ICD-10 code, modifier(s), etc…).
Ensure that all documented services are captured and coded and that all coding work is performed in a manner consistent with applicable coding rules and conventions.
Verification
Perform a comprehensive review of the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required and other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered.
Analyze provider documentation to assure the appropriate Evaluation & Management (E & M) levels are assigned using the correct CPT code.
Evaluate the record for documentation consistency and adequacy; ensure the final diagnosis accurately reflect the care and treatment rendered; review the records for compliance with established third party reimbursement agencies and special screening criteria.
Determine the final diagnosis and procedures stated by the physician or other health care providers are valid and complete.
Organizational Accountabilities Organizational Accountabilities (Staff)
Anticipate and responds to customer needs; follows up until needs are met
Teamwork/Communication
Demonstrate collaborative and respectful behavior
Partner with all team members to achieve goals
Receptive to others’ ideas and opinions
Performance Improvement/Problem-solving
Contribute to a positive work environment
Demonstrate flexibility and willingness to change
Identify opportunities to improve clinical and administrative processes
Make appropriate decisions, using sound judgment
Use resources efficiently
Search for less costly ways of doing things
Safety
Speak up when team members appear to exhibit unsafe behavior or performance
Continuously validate and verify information needed for decision making or documentation
Stop in the face of uncertainty and takes time to resolve the situation
Demonstrate accurate, clear and timely verbal and written communication
Actively promote safety for patients, families, visitors and co-workers
Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance
Primary Location Maryland-Silver Spring
Other Locations District of Columbia-Washington
Work Locations Dorchester 12200 Plum Orchard Dr Silver Spring 20904
Job Health Information Management and Coding
Organization Finance
Position Status : R (Regular) - FT - Full-Time
Shift : Day
Work Schedule : Monday - Friday - 8:00 AM - 5:00 PM
Job Posting Full-Time Salary Range 59155.2 - 98571.2
Children's National Hospital is an equal opportunity employer that evaluates qualified applicants without regard to race, color, national origin, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender, identity, or other characteristics protected by law. The “Know Your Rights” poster is available here: and the pay transparency policy is available here: Know Your Rights Pay Transparency Nondiscrimination Poster.
Please note that it is the policy of Children's National Hospital to ensure a “drug-free” work environment: a workplace free from the illegal use, possession or distribution of controlled substances (as defined in the Controlled Substances Act), or the misuse of legal substances, by all staff (management, employees and contractors). Though recreational and medical marijuana are now legal in the District of Columbia, Children's National and its affiliates maintain the right, in accordance with our policy, to enforce a drug-free workplace, including prohibiting recreational or prescribed marijuana.
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Job Description
Description The Coding Analyst reports to the Manager of Coding and will demonstrate expertise in the coding and analysis of pediatric medical records. The Coding Analyst is responsible to review, analyze, and code diagnostic and procedural information for technical or professional services that determine the care and treatment provided to the patient. The primary function of this position is to perform ICD-10-CM, CPT, ICD-10-PCS (IP tech/DRG) and HCPCS coding for Medicare, Medicaid and private insurance payments. The coding function will ensure compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines.
Qualifications Minimum Education
High School Diploma or GED (Required) And Associate's Degree (Preferred)
Minimum Work Experience
1 year Hospital-based coding experience required; pediatric experience preferred. (Required)
Demonstrated experience in coding inpatient hospital stays (assigning ICD-10-CM/PCS, APR-DRG/MS-DRG assignments), pediatric experience (Preferred).
Functional Accountabilities Productivity and Accuracy
Assign and sequence ICD-10-CM/CPT/HCPCS/ICD-10-PCS (IP tech/DRG) codes to diagnosis and operative procedures for documented information; assure the final diagnosis and operative procedures as stated by the physician are valid and complete; abstract all necessary information from health records to identify secondary complications and co-morbid conditions.
Meet department accuracy and productivity standards for coding, abstracting, and record reconciliation activities.
Abstract all necessary information and assign codes ICD-10-CM/CPT/HCPCS/ICD-10-PCS (IP tech/DRG), which most accurately describe each documented diagnosis, surgical procedure and special therapy or procedure according to established guidelines.
Identify services needing to be abstracted/coded by following prescribed procedures for the capture of inpatient and outpatient services; this may involve the use of admissions, transfer and discharge reports, appointment schedules, and/or surgical schedules.
Abstract applicable clinical documentation (e.g., admit report, consultation report, progress note, surgical report, etc…) for purpose of determining the appropriate billing information (e.g., provider name, date of service, CPT code, ICD-10 code, modifier(s), etc…).
Ensure that all documented services are captured and coded and that all coding work is performed in a manner consistent with applicable coding rules and conventions.
Verification
Perform a comprehensive review of the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required and other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered.
Analyze provider documentation to assure the appropriate Evaluation & Management (E & M) levels are assigned using the correct CPT code.
Evaluate the record for documentation consistency and adequacy; ensure the final diagnosis accurately reflect the care and treatment rendered; review the records for compliance with established third party reimbursement agencies and special screening criteria.
Determine the final diagnosis and procedures stated by the physician or other health care providers are valid and complete.
Organizational Accountabilities Organizational Accountabilities (Staff)
Anticipate and responds to customer needs; follows up until needs are met
Teamwork/Communication
Demonstrate collaborative and respectful behavior
Partner with all team members to achieve goals
Receptive to others’ ideas and opinions
Performance Improvement/Problem-solving
Contribute to a positive work environment
Demonstrate flexibility and willingness to change
Identify opportunities to improve clinical and administrative processes
Make appropriate decisions, using sound judgment
Use resources efficiently
Search for less costly ways of doing things
Safety
Speak up when team members appear to exhibit unsafe behavior or performance
Continuously validate and verify information needed for decision making or documentation
Stop in the face of uncertainty and takes time to resolve the situation
Demonstrate accurate, clear and timely verbal and written communication
Actively promote safety for patients, families, visitors and co-workers
Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance
Primary Location Maryland-Silver Spring
Other Locations District of Columbia-Washington
Work Locations Dorchester 12200 Plum Orchard Dr Silver Spring 20904
Job Health Information Management and Coding
Organization Finance
Position Status : R (Regular) - FT - Full-Time
Shift : Day
Work Schedule : Monday - Friday - 8:00 AM - 5:00 PM
Job Posting Full-Time Salary Range 59155.2 - 98571.2
Children's National Hospital is an equal opportunity employer that evaluates qualified applicants without regard to race, color, national origin, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender, identity, or other characteristics protected by law. The “Know Your Rights” poster is available here: and the pay transparency policy is available here: Know Your Rights Pay Transparency Nondiscrimination Poster.
Please note that it is the policy of Children's National Hospital to ensure a “drug-free” work environment: a workplace free from the illegal use, possession or distribution of controlled substances (as defined in the Controlled Substances Act), or the misuse of legal substances, by all staff (management, employees and contractors). Though recreational and medical marijuana are now legal in the District of Columbia, Children's National and its affiliates maintain the right, in accordance with our policy, to enforce a drug-free workplace, including prohibiting recreational or prescribed marijuana.
#J-18808-Ljbffr